The nurse is caring for a patient who will be evaluated for brain death. What should the nurse expect to be evaluated in this patient?
Select all that apply.
1. absent motor and reflex movements
2. flat electroencephalogram (EEG) on successive EEGs
3. no spontaneous respiration
4. pupils are equal and responsive to light
5. criteria present for at least 15 minutes
Correct Answer: 1, 2, 3
Absent motor and reflex movements, flat electroencephalogram (EEG) on successive EEGs, and lack of spontaneous respiration are part of generally recognized brain death criteria. Pupils that are equal and responsive to light are a sign of pupillary response and indicate brain function. Criteria should be present for 30 minutes to 1 hour and for 6 hours after onset of coma and apnea.
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